Psychother Psychosom Med Psychol. Mar-Apr;55() [The Kansas City Cardiomyopathy Questionnaire (KCCQ) — a new disease-specific quality of. Background. The Kansas City Cardiomyopathy Questionnaire (KCCQ) and Minnesota Living with Heart Failure Questionnaire (MLHFQ) are. The Kansas City. Cardiomyopathy Questionnaire (KCCQ) is a new, self- administered, item questionnaire that quantifies physical limitations, symptoms.
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Summary of KCCQ score, lab tests, and discharge medication between HF readmission and nonreadmission within 30 days after discharge. This instrument was developed and validated by John Spertus. Comments Seng Cardiomyopsthy Jong — 14 May – Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding. Previous studies have shown that KCCQ score correlated with survival and hospitalization in patients with HF [ 7 ] and was an independent predictor of poor prognosis in this patient population [ 8 ].
What are the scales in the KCCQand what do they mean?
Jackie Miles — 20 July – In this prospective study, we found that the KCCQ score was significantly associated with short-term HF readmission rate. If you signup and loginyou can post comments. Summary of multivariate kanss investigating the effects of demographic characteristics, medical history, discharge medication, lab test, and overall KCCQ score on readmission rate within 30 days after discharge. An alternative approach to interpreting clinical changes is to appreciate the prognostic significance of changes in scores.
Future research should include relevant physical examination findings and chest X-ray findings, which could be important in the risk prediction model. The authors wish to acknowledge the following participating doctors from Florida Hospital Orlando who helped with data collection: Comments There are no comments so far. In the KCCQan overall summary score can be derived from the physical function, symptom frequency and severitysocial questionnire and quality of life domains.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
We enrolled patients who met the study criteria. This figure describes the Kaplan-Meier curves for this study: The c -statistic indicated that model 5 which included KCCQ score and all other potential predictors had the highest c -statistic value 0. Postdischarge readmission information was gathered through follow-up interview with the patient.
However, no significant difference was detected on comparing discharge medications, blood sodium level, or HGB between the two groups of patients in the univariate analysis Table 2. In total, patients were enrolled in the study. For brevity, only the performance characteristics of the overall summary score are presented in this discussion.
The KCCQ score, lab test results on admission, and discharge medications were compared between the nonreadmitted and readmitted patients Table 2.
We only administered the KCCQ one time during the hospitalization, which would not reflect changes between admission, during hospitalization, and after hospitalization.
The full model model 5which included the KCCQ score, increased the c -statistics of 0.
The Kansas City Cardiomyopathy Questionnaire
Table of Contents Alerts. The Kansas City Cardiomyopathy Questionnaire is the leading health-related quality-of-life measure for patients with congestive heart failure. Using Our Site Important information for new users.
However, neither of the two models included KCCQ scores. This suggests that a mean difference over time of 5 points on the KCCQ Kfcq Summary Scale reflects a clinically significant change in heart failure status.
Heart failure is one of the most common diagnoses associated with readmission. It is a reliable, predictive tool that tracks how patients are doing if they have weakened heart muscle due to prior heart attacks, heart valve problems, viral infections, or other causes.
The combination of home medication and lab tests on the base model resulted in an integrated discrimination quesrionnaire IDI increase of 3.
The Kansas City Cardiomyopathy Questionnaire
The assessment was generally completed within 1—3 days before discharge. We then performed multivariate analysis to investigate how each clinical factor was associated with HF readmissions after controlling quesfionnaire the other factors. Cardiology Research and Practice. Results In total, patients were enrolled in the study. Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors.
More recently, KCCQ carddiomyopathy also been studied during acute HF hospitalization and demonstrated sensitivity fardiomyopathy acute changes, but score changes during hospitalization did not predict short-term readmission [ 10 ], although it was a relatively small study, with a sample size of only 52 patients, and it did cuty investigate the relationship between KCCQ score and HF readmission.
This figure describes the Kaplan-Meier curves for this study:. The Kansas City Cardiomyopathy Questionnaire is a item, self-administered instrument that quantifies physical function, symptoms frequency, severity and recent changesocial function, self-efficacy and knowledge, and quality of life. Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis.
Competency in Medical Knowledge. As no nested missing pattern was detected, multiple imputation models were used for data imputation.